26D0932422 CLIA NUMBER - SAMUEL R CARTER, MD

Laboratory Demographics

  • CLIA Code: 26D0932422
  • Facility Name: SAMUEL R CARTER, MD
  • Facility Address: 2024 MAIDEN LANE, STE 203
    JOPLIN, MO
    ZIP 64804
  • Facility Phone: 417 659-4661
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAMUEL R. CARTER
  • NPI Number: 1760428973
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 26D0932422
LAB Type Physician Office
Facility Name SAMUEL R CARTER, MD
Street 2024 MAIDEN LANE, STE 203
City JOPLIN
State MO
ZIP 64804
Phone 417 659-4661
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/20/2025
Certificate Expiration Date 8/19/2027
Facility Type Physician Office
Lab Director SAMUEL R. CARTER

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This page was last updated on: 9/29/2025